Background Randomized trials can show whether a treatment effect is statistically significant and describe the size of effect. There are, however, no validated methods available for establishing clinical relevance these outcomes. Recently, it was proposed that standardized mean difference (SMD) 0.50 be used as cutoff in depression. Methods We explore what means why an has little bearing on its relevance. will also examine how "minimally important difference," seen from patient perspective,...

Objective: Complex posttraumatic stress disorder (CPTSD) as defined by the Disorders of Extreme Stress Not Otherwise Specified (DESNOS) formulation is associated with childhood relational trauma and involves impairment, affect dysregulation, identity alterations. However, distinct contributions impairment (operationalized in form fears closeness or abandonment), dysregulation overregulation under-regulation affect), alterations positive negative psychoform somatoform dissociation) to...

Affect dysregulation and dissociation may be associated with borderline personality disorder (BPD) somatoform (SoD). In this study, both under-regulation over-regulation of affect positive negative psychoform dissociative experiences were assessed. BPD SoD diagnoses confirmed or ruled out in 472 psychiatric inpatients using clinical interviews multidisciplinary consensus. measured self-reports. Under-regulation (but not over-regulation) was moderately related to experiences. Although can...

Although affect dysregulation is considered a core component of borderline personality disorder (BPD) and somatoform disorders (SoD), remarkably little research has focused on prevalence nature in these disorders. BPD SoD diagnoses were confirmed or ruled out 472 psychiatric inpatients using clinical interviews. Three qualitatively different forms identified: under-regulation, over-regulation combined under- affect. was associated with under-regulation affect, However, one five patients also...

This study replicates and extends prior research on the relationship of childhood complex trauma (CCT) posttraumatic stress disorder (cPTSD) in adulthood, examining role psychoform somatoform dissociation as a potential mediator. CCT, dissociation, cPTSD were assessed large sample adult psychiatric inpatients. Almost two thirds participants reported having experienced CCT. Path analyses with bootstrap confidence intervals demonstrated between (but not somatoform) cPTSD. In addition,...

Borderline personality disorder (BPD) and somatoform disorders (SoD) involve significant problems in relationships emotion regulation, but the similarities differences between these areas is not well understood.In 472 psychotherapy inpatients BPD and/or SoD diagnoses were confirmed or ruled out using clinical interviews standardized measures. Emotional under- over-regulation indices of adult attachment working models fears assessed with validated self-report Bivariate multivariate analyses...

Although deficits in facial affect processing have been reported schizophrenia as well borderline personality disorder (BPD), these disorders not yet directly compared on labeling. Using degraded stimuli portraying neutral, angry, fearful and angry expressions, we hypothesized more errors labeling negative expressions patients with to healthy controls. Patients BPD were expected difficulty neutral display a bias towards attribution when wrongly faces. (N = 57) 30) somatoform (SoD,...

Although schizophrenia has often been associated with deficits in facial affect recognition, it is debated whether the recognition of specific emotions affected and if these affect-processing are related to symptomatology or other patient characteristics. The purpose present study was explore particular characteristics expressions patients schizophrenia. Sixty-four a DSM-IV diagnosis were assessed computerized test degraded recognition. Linear regression analysis showed that, particular,...

Potentially traumatizing experiences by a primary caregiver during childhood (TPC) may lead to affect dysregulation, which is hallmark of borderline personality disorder (BPD) in adulthood. Path analyses with bootstrap confidence intervals were used explore the relationships TPC and under- overregulation BPD symptoms. Almost 63% sample 472 patients diagnosed either alone, comorbid + somatoform disorder, or other mental reported TPC. underregulation associated severity symptoms, but was not....

Disorders of Extreme Stress Not Otherwise Specified (DESNOS), also known as Complex posttraumatic stress disorder, was assessed in a sample (N = 472) adult psychiatric patients with confirmed diagnoses Borderline Personality Disorder (BPD), Somatoform (SoD), comorbid BPD + SoD, or Affective Anxiety (Psychiatric Controls, PC). SoD had the most extensive childhood trauma histories and were likely (38%) to meet DESNOS criteria, followed by (26%), PC (17%), (10%), The BPD-only groups reported...

Although affect dysregulation is considered a core component of borderline personality disorder (BPD) and somatoform disorders (SoD), remarkably little research has focused on the prevalence nature in these disorders. Also, despite apparent similarities, known about how dysfunctional under- overregulation positive negative psychoform dissociative experiences inter-relate. Prior studies suggest clear relationship between early childhood psychological trauma dysregulation, especially when...

Digital mental healthcare interventions (DMHIs) have been repeatedly mentioned as a possible solution for the growing demand accessible treatment patients suffering from common health problems, i.e. depression and anxiety disorders. However, structural implementation of DMHI is sparse results on outcome seems inconclusive. To enrich body evidence, this paper compares need-driven digital intervention (DMHI) diagnosed with or disorders traditional face-to-face treatment. The provided using...

<b><i>Background:</i></b> To study difficulties in emotional functioning two mental disorders that have been associated with identifying and modulating emotions: borderline personality disorder (BPD) somatoform (SoD). <b><i>Sampling Methods:</i></b> In 472 psychiatric inpatients, were measured using the Bermond-Vorst Alexithymia Questionnaire. <b><i>Results:</i></b> Profiles of identified, suggesting patients diagnosed...

Objective: Literature on cognitive-emotional functioning reflects indications that patients with somatic symptomor related disorder may suffer from diminished affective mentalizing/ psychological mindedness is impairment in the ability for reflectivity about processes, relationships and meanings. Affective seems to play an important role especially a social context as engaging group-psychotherapy. The present study investigated symptoms- conversion (SSCD) patients, by examining similarities...

Attachment characteristics play a key role in mental health and understanding disorders. The aim of this study was to gain insight into the attachment can treatment effects adult patients with intrapsychic interpersonal problems who underwent Equine-assisted Short-term Psychodynamic Psychotherapy (ESTPP). In first part study, we compared ESTPP treatment-as-usual from previous dataset regarding psychological dysfunction. For this, an explorative experimental non-randomized pre-treatment...

Summary Although the Hamilton Rating Scale for Depression (HRSD) is most frequently used rating scale quantifying depressive states, it has been criticized its reliability and usability in clinical practice. This criticism less applying to Montgomery-Asberg (MADRS). Goal of present study investigate validity, relationship between HRSD MADRS. For 60 out-patients with diagnosed depression (DSM IV296.2x, 296.3x, 300.40 311.00), MADRS were scored at baseline 6 weeks later by an independent rater...